摘要
目的探讨基于扎根理论的护理干预对老年糖尿病肾病患者心理健康及认知功能的影响。方法选取2017年6月—12月本院治疗的老年糖尿病肾病患者72例,患者均按入院时间进行编号,对患者编号进行电脑软件随机分配,每组各36例。对照组患者给予常规护理,观察组患者在对照组基础上实施基于扎根理论的护理干预,比较两组患者干预前后心理健康及认知功能的差异。结果干预前两组患者心理健康及认知功能评分比较,差异无统计学意义(均P>0.05);干预后观察组患者心理健康评分(除了偏执和精神病性维度外)低于对照组,认知功能评分(除定向力和回忆力维度外)高于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论基于扎根理论的护理干预能够有效改善老年糖尿病肾病患者的心理健康,减轻患者的认知功能损害。
Objective To explore the effects of nursing intervention based on Grounded Theory on the negative mentality and cognitive function of elderly patients with diabetic nephropathy.Methods A group of 72 elderly patients with diabetic nephropathy in our hospital from Jun.to Dec.2017 were recruited and assigned into 2 groups randomly according to their hospitalized time.The routine nursing was given in the control group,while the nursing intervention based on Grounded Theory was used in the observation group.The patients were evaluated by Symptom Checklist-90(SCL-90)and Mini-Mental State Examination(MMSE)before intervention and 2 months after intervention,respectively.Results After intervention,the SCL-90 scores(except demension stubbon and mental disorder)in the observation group was significantly lower than those in control group,the MMSE score(except demensions orientation and memory)in the observation group was significantly higher than those in control group(P<0.05).Conclusion The nursing intervention based on the Grounded Theory can effectively improve the negative mentality of the elderly patients with diabetic nephropathy,and reduce their cognitive impairment.
作者
邹文娟
王华
张玲
王娟
Zou Wenjuan;Wang Hua;Zhang Ling;Wang Juan(Department of Nephrology,Nanjing Gulou Hospital,Nanjing,210008,China)
出处
《现代临床护理》
2019年第11期57-62,共6页
Modern Clinical Nursing
关键词
扎根理论
糖尿病肾病
心理健康
认知功能
老年患者
grounded theory
diabetic nephropathy
mental health
cognitive function
old patient
